Indonesia - Ministry of Health Human Bird Flu Reports: 2007 to 2009

[Gert van der Hoek]

Press Release Min of Health:

The case of 85th Bird Flu in Indonesia on March 13 2007 Other the resident of the East Java province, SNA (P, 20 th), was stated positive terjangkit H5N1.

This fact was proven through the inspection PCR the Body of Health Research And Development (Litbangkes) the Department of Health on March 11 2007.
Since March 10, was carried out by epidemiology investigation by the team from the Health Service of the Mojokerto Regency and the East Java province.

Was like this the report that was accepted by the Centre of the Public's Communication of the Bird Flu Command Post, Directorate General Pengendalian of the Illness and Sanitation of the Health of the Department's Environment, this Monday (12/03/07).

SN the resident of the Source Village of Pandanus, the Mojotamping Village, of the Ward Subdistrict, the Mojokerto Regency, East Java, showed the sign of Bird Flu since February 28 2007.

On March 8 2007, SN was reconciled to the regional Public Hospital Dr. Soetomo was after beforehand treated in RS Prof. Soekandar, Mojokerto.
Before being sick, SN had cleaned the place of the disposal of the chicken died behind his house.

With the addition of this case, in Indonesia was gotten by 85 positive people terjangkit H5N1, that was the kind of the Bird Flu virus, with strain typical Indonesia, 64 people among them died.

The spreading of the sufferer that was confirmed suffered Bird Flu was based on the province could be seen in the table along with this:



# Province # Positive Bird Flu # BF deaths

1 Jawa Barat 28 22
2 DKI Jakarta 21 18
3 Banten 12 10
4 Sumatera Utara 7 6
5 Jawa Timur 6 3
6 Jawa Tengah 5 4
7 Lampung 3 0
8 Sulawesi Selatan 1 1
9 Sumatera Barat 2 0

Number of cases: 85 64

This news was broadcasted by the Centre of the Public's Communication, the Secretariat General the Department of the Health.
For information further could contact through the number of the telephone/fax: 021-5223002 and 52960661, or the e-mail address puskom.publik@yahoo.co.id

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2509

[Laidback Al]

Re: Indonesia: Summary of Bird Flu Cases march 12 2007

Note: This was posted on Feb. 15, 2007 on the Indonesian Ministry of Health site. It reports information on the 84th human case recognized by the Indonesia Ministry of Health.

The case of 84th Bird Flu in Indonesia on February 15 2007
It was other that the resident of the West Javanese province was stated positive terjangkit H5N1.
This fact was proven through the inspection PCR the Body of Health Research And Development (Litbangkes) the Department of Health on February 10 2007.
Was like this the report that was accepted by the Centre of the Public's Communication of the Bird Flu Command Post, Directorate General Pengendalian of the Illness and Sanitation of the Health of the Department's Environment, last Saturday (10/02/07).
E (P, 20 th) that settled in the [Haridang Hamlet, the Sindang Galah Village, Karang Paitan Subdistrict, Garut Regency] was affected by contact with the chicken died before beginning to be treated in RS Garut on February 9 2007.
NY.
E, afterwards died struck 24.
00 WIBB on February 11 2007.
With the addition of this case, in Indonesia, 84 positive people terjangkit H5N1 with strain typical Indonesia, 64 people among them died.
The spreading of the sufferer that was confirmed suffered Bird Flu was based on the province could be seen in the table along with:

The case of Bird Flu in Indonesia

No the Positive province Bird Flu of The Number Of cases died
1 West Javanese 28 22
2 the Special Capital District of Jakarta 21 18
3 Banten 12 10
4 North Sumatra 7 6
5 East Java 5 3
6 Central Java 5 4
7 Lampung 3 0
8 South Sulawesi 1 1
9 West Sumatra 2 0

this News was broadcasted by the Centre of the Public's Communication, the Secretariat General the Department of the Health.
For information further could contact through the number of the telephone/fax: 021-5223002 and 52960661 or the e-mail address puskom.publik@yahoo.co.id.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2451

[Gert van der Hoek]

Re: Indonesia: Summary of Bird Flu Cases (84 and 85) Feb 15, Mar 12 2007

(Case No 85) Confirmation by press release Min of Health; SN is Siti Nur Aini; Total cases confirmed 86, 66 patients died

SN the Patient Bird Flu had Finally died

on March 21 2007

After almost two weeks were treated, SN (P, 20 th) the resident of the East Java province the positive patient Bird Flu, finally had died, on Monday (19/3) struck 15.15 WIB.

Therefore, up to March 20 2007, the number of positive cases of Bird Flu in Indonesia achieved 86 cases, 66 among them died.

Case Fatality Rate (CFR) or the Case Death Rate of Bird Flu to humankind in Indonesia currently is 76.7%.

Was like this the report that was accepted by the Centre of the Public's Communication of the Bird Flu Command Post, Directorate General engendalian of the Illness and Sanitation of the Health of the Department's Environment, on Tuesday (20/03/07).

SN, the resident of the Source Village of Pandanus, the Mojotamping Village, of the Ward Subdistrict, the Mojokerto Regency, East Java, showed the sign of Bird Flu since February 28 2007.

On March 8 2007, SN was reconciled to the regional Public Hospital Dr. Soetomo was after beforehand treated in RS Prof. Soekandar, Mojokerto.
Before being sick, SN had cleaned the place of the disposal of the chicken died behind his house.

SN was stated positive infected by the virus H5N1 through the inspection PCR the Body of Health Research And Development (Litbangkes) the Department of Health on March 11 2007.

The spreading of the sufferer that was confirmed suffered Bird Flu was based on the province could be seen in the table along with.

The case of Bird Flu Confirm on March 20 2007


Province # Confirmed BF # Deaths

1 Jawa Barat 28 22
2 DKI Jakarta 22 19
3 Banten 12 10
4 Sumatera Utara 7 6
5 Jawa Timur 6 4
6 Jawa Tengah 5 4
7 Lampung 3 0
8 Sulawesi Selatan 1 1
9 Sumatera Barat 2 0

Total cases: 86 66

In the meantime, WHO reported the case of Bird Flu in the world from 2003 to March 19 2007 totalling 280 cases, 169 among them died.

The distribution of the case of Bird Flu could be in the world seen in the table along with.


The case of Bird Flu Confirm 2003-19 in March 2007

Country # Positive BF # Deaths

1 Azerbaijan 8 5
2 Kamboja 6 6
3 Cina 23 14
4 Djibouti 1 0
5 Mesir 25 13 (Egypt)
6 Indonesia 81 63
7 Irak 3 2
8 Laos 2 2
9 Nigeria 1 1
10 Thailand 25 17
11 Turki 12 4
12 Vietnam 93 42 (corrected)

Total cases: 280 169

This news was broadcasted by the Centre of the Public's Communication, the Secretariat General the Department of the Health.
For information further could contact through the number of the telephone/fax: 021-5223002 and 52960661, or the e-mail address puskom.publik@yahoo.co.id.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2512

[Diane Morin]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 21 2007

12 Irak 93 42

C'est une erreur. Il faut lire : 12 Vietnam 93 42

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 21 2007

12 Irak 93 42

C'est une erreur. Il faut lire : 12 Vietnam 93 42

Merci bien!

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 21 2007

From Ministry of Health (Cases No. 87, No. 88, and No. 89)

New cases of the Patient Bird Flu, 2 people died

(edit: published before death of 3rd patient WH from Mojokerto)

on March 28 2007

The case Avian influenza (Burung= FB Flu) to humankind improved again 3 new cases, that is DS (L, 15 years) from the Eretan Wetan Village, Kec.
Indramayu, West Java, M. (P, 22 years) from Palembang South Sumatra and WH (L, 39 years) from the Village Sido Big the Perning Kec Village.
Jetis Mojokerto, East Java.

With the increase 3 new cases, up to March 28 2007, the positive FB case in Indonesia became 89 cases, 68 among them died.

The death rate or Case Fatality Rate (CFR) reached 76.4%.

DS, M. and WH was stated positive infected by the virus H5N1 through the inspection PCR the Body of Health Research And Development (Litbangkes) the Department of Health and the Laboratory Eijkman Jakarta on March 27 2007 in the afternoon.

Was like this the report that was accepted by the Centre of the Public's Communication of the Bird Flu Command Post, Directorate General Pengendalian of the Illness and Sanitation of the Health of the Department's Environment, on Wednesday (28/03/07).

DS, villagers Eretan Wetan, the Indramayu Subdistrict, of West Java, on March 21 2007 entered RSU Indramayu with the sign was similar FB. on March 24, DS entered RS Immanuel.

Tomorrow his day, on March 25 again will be reconciled to RS Handsome Sadikin Bandung and died in the evening. The risk factor in investigation.

At this time the FB case in West Java, occupied the level 1 highest with the number of cases 29 and 23 among them died, CFR: 79%.

M., the Palembang resident, South Sumatra, on March 23 2007 entered RS Caritas.M. was the reconciliation patient of RS Ms. On March 24 the morning M. was reconciled back to RS Husein Palembang but his spirit was not helped, died in struck 17.30 in the afternoon. Till at this time the risk factor in investigation. M. was the FB case positive first in Prov. South Sumatra.

WH, the resident of the Village Sido Big the Perning Kec Village. Jetis Mojokerto, East Java, began to be sick on March 19 2007.
On March 20 checked to the doctor and on March 22 checked to the internal disease specialist doctor.

Because the illness also did not improve on March 24 was brought to the Community Health Centre and because breathless, by the Community Health Centre was reconciled to RS Wahidin Sudirohusodo Mojokerto. By RS Wahidin was reconciled again to RSUD Dr. Sutomo Surabaya.
At this time WH was still being treated.

The risk factor, on March 11 had the chicken died in the house and the neighbouring house WH. produced by Rapid test was gotten the positive poultry H5N1. WH merupkan the FB case to 7 in Prov. East Java.

Therefore The Number Of Positive cases of Bird Flu in Indonesia reached 89 with 68 including dying.

Along with this was presented the table selengkap him concerning the development of the case of Bird Flu in Indonesia.

The cases of Bird Flu in Indonesia
Up To March 28 2007


Province # cases # deaths

1 West Java 29 23

2 the Special Capital District of Jakarta 22 19

3 Banten 12 10

4 North Sumatra 7 6

5 East Java 7 4 6

Central Java 5 4 7

Lampung 3 0 8

South Sulawesi 1 1 9

West Sumatra 2 0 10

South Sumatra 1 1

total Number Of cases 89 68

This news was broadcasted by the Centre of the Public's Communication, the Secretariat General the Department of the Health.
For information further could contact through the number of the telephone/fax: 021-5223002 and 52960661, or the e-mail address puskom.publik@yahoo.co.id

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2524

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 28 2007

From Min of Health (Cases No. 90 and No. 91)

Two more people died because of Bird Flu

on March 30 2007

The case Avian influenza (Burung= FB Flu) to humankind improved again 2 new cases, that is Y (P, 28 years) from Kel. Serdang Kec. Kemayoran Jakarta the Centre and D (L, 15 years) from the Kab Banyan Tree Cape. The South Prop coast.West Sumatra.

With the increase 2 new cases, up to March 29 2007, the positive FB case in Indonesia became 91 cases, 71 among them died. The death rate or Case Fatality Rate (CFR) reached 78.02%.

Y and D were stated positive contaminated with the virus H5N1 through the inspection PCR the Body of Health Research And Development (Litbangkes) the Department of Health on March 28 2007 and the Laboratory of Eijkman Jakarta on March 29 2007 the morning.

Was like this the report that was accepted by the Centre of the Public's Communication of the Bird Flu Command Post, Directorate General Pengendalian of the Illness and Sanitation of the Health of the Department's Environment, on Thursday (29/03/07).

Y (P, 28 years) the resident of the Village Irian Kel. Serdang Kec.Kemayoran Jakarta the Centre, began to be sick (onset) on March 21 2007, afterwards entered RS Islam Cempaka White on March 21 2007. Because the condition for the health did not improve was reconciled to RS Gatot Subroto on March 24 2007.

Results of the inspection showed leucocytes and trombosit low and results x-rayed pneumonia. Died on March 28 2007 at 04.25 o'clock.

The risk factor was not yet known, the team surveilans the Special Capital District Health Service was carrying out investigation.
Therefore, the case of bird flu in the Special Capital District of Jakarta province became 23 cases 20 among them died.

D (L, 15 years) from the Kab Banyan Tree Cape.The South West Sumatra coast, began to be sick with the sign of the fever, breathless and the cough on March 13 2007.

Enter RS M. Djamil Padang on March 23 2007 at 23.35 o'clock.The next day on March 24 2007 at 01.10 o'clock died.

Results of the inspection showed leucocytes and trombosit low.

The risk factor two weeks beforehand the neighbouring chicken died suddenly 10 tails.

D was the case of 3rd bird flu in the West Sumatra province.
Along with this was presented the table selengkap him concerning the development of the case of Bird Flu in Indonesia.

The case of Bird Flu in Indonesia Up To March 29 2007

Province # cases # died

1 West Java 29 23
2 the Special Capital District of Jakarta 23 20
3 Banten 12 10
4 North Sumatra 7 6
5 East Java 7 5
6 Central Java 5 4
7 Lampung 3 0
8 South Sulawesi 1 1
9 West Sumatra 3 1
10 South Sumatra 1 1

Total Number Of cases 91 71

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2538

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 30 2007

(Case No. 86)

March 20, 2007

The 86th AI Positive Case
20 Mar 2007
Specimen observation in laboratory of National Institute of Health Research and Development (Balitbangkes) and Eijkman Molecular Biological Institute, Jakarta mentions that BAJ (m, 32 years), Jakarta resident, is positive of Avian Influenza (AI). Confirmation from second laboratory was received on Friday afternoon, March 16, 2007. Up to today, number of AI case increases to 86, with 65 were dead. Case Fatality Rate (CFR) on human in Indonesia is 75.6%.
It is a latest report (March 16, 2007) from AI Post of DG of Disease Control and Environmental Health MOHRI.
On March 7, 2007, BAJ, who lives in Duren Sawit, East Jakarta , went to doctor for his high temperature. On March 13, he was referred to Emergency Unit of Harum Hospital and diagnosed as AI suspect. The day after, at 01.30 a.m, he got difficulty in breathing that he was referred to Persahabatan Hospital . Unfortunately, he died at 08.30 a.m. on the same day.
BAJ is the 22 nd AI case in DKI Jakarta. Therefore, in Indonesia there are 86 people infected by H5N1 with 65 people dead. Distribution of AI confirmed cases is: West Java (28 cases, 22 dead), DKI Jakarta (22 cases, 19 dead), Banten (12 cases, 10 dead), North Sumatera (7 cases, 6 dead), East Java (6 cases, 3 dead), Central Java (5 cases, 4 dead), Lampung (3 cases, alive), South Sulawesi (1 case, dead) and West Sumatera (2 cases, alive).
For interest of AI research and control, on March 14, 2007, surveillants (from Duren Sawit health center) and doctors (from Pondok Kelapa health center) had investigated the case. Though there is one parrot in his house, there is no dead avian and influenza-like illnesses ( ILI ) are found there.
Public health office and health center have implemented ILI monitoring/surveillance in BAJ neighboring and are planning to do health promotion. Moreover, today, team of DG of Disease Control and Environmental Health MOHRI continue the investigation toward the case, his family, neighboring and employee in his working place. Farming office also does the investigation. The direct contact with avian has not been known yet. Further investigation is still managed.
This information is published by Center for Public Communication, Secretariat General MOHRI. For further information, please call 021-5223002 and 52960661, or send e-mail to: puskom.publik@yahoo.co.id.

http://www.depkes.go.id/en/2003th.htm

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases April 4 2007

From Min of Health

The case of 92nd Bird Flu in Indonesia

on April 04 2007

It was other that the resident of the Special Capital District of Jakarta province, S (P, 23 th), was stated positive infected by H5N1.

This fact was proven through the inspection PCR the Body of Health Research And Development (Litbangkes) the Department of Health on April 2 2007 and the Molecular Laboratory of the biological Agency of Eijkman Jakarta on April 3 2007.

With the increase 1 new case, till April 3 2007, the case that was confirmed positive suffered Bird Flu in Indonesia to 92 cases, with 72 including dying.
The death rate or Case Fatality Rate (CFR) reached 78.26%.

Was like this the report that was accepted by the Centre of the Public's Communication of the Bird Flu Command Post, Directorate General Pengendalian of the Illness and Sanitation of the Health of the Department's Environment, this Tuesday (03/04/07).

S (P, 23 th) the resident Cempaka White Jakarta the Centre, began to be sick (onset) on March 28 2007 with the sign of the fever, the cough, and diarrhoea.

On March 31 2007, S came to RS Islam Cempaka White because the condition for his health worsened and experienced breathless. After being treated for a moment in RS Islam, S was reconciled to RS the Friendship / Persehabatan in struck 19.30 the next day (01/04/2007).

Had a basis the inspection in RS the Friendship, the level of S leucocyte was classified as low and results x-rayed showed pneumonia to S. On the same day he experienced failed the breath and finally in struck 19.50 died.

This woman had contact with the poultry that is treating eagle birds.

Therefore, the total case of Bird Flu in the Special Capital District of Jakarta province became 24 cases, 21 among them died.

The spreading of the case that was confirmed suffered Bird Flu was based on the province could be seen in the table along with.

The Case data of confirmed Bird Flu cases

Up To April 3 2007

Province # cases # died

1 West Javanese 29 23

2 the Special Capital District of Jakarta 24 21

3 Banten 12 10

4 North Sumatra 7 6

5 East Java 7 5

6 Central Java 5 4

7 Lampung 3 0

8 South Sulawesi 1 1

9 West Sumatra 3 1

10 South Sumatra 1 1

Total Number Of cases 92 72

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2547

[Cindie]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 30 2007

I'm sorry to ask but we are in the midst of our hospital changing over in ownership right now and I'm not getting time to read here as I usually do. Was the Doctor (I think from Indonesia) that was being treated found to be positive for AI? He was suspected last I read. And I think some other hospital employees were tested at the same time. Our hospital really depends on news we get from Flu Trackers, so once again...Thanks for all you guys do to keep everyone informed and prepared.

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases Mar 30 2007

I'm sorry to ask but we are in the midst of our hospital changing over in ownership right now and I'm not getting time to read here as I usually do. Was the Doctor (I think from Indonesia) that was being treated found to be positive for AI? He was suspected last I read. And I think some other hospital employees were tested at the same time. Our hospital really depends on news we get from Flu Trackers, so once again...Thanks for all you guys do to keep everyone informed and prepared.

The doctor - Sandra - was tested negative and went home today.

http://www.flutrackers.com/forum/showpost.php?p=74804&postcount=13

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases april 4 2007

From Ministry of Health

The case of Indonesian Bird Flu Most in the World

on April 09 2007

RJ (in the news of the previous press was acknowledged as RY), the girl was 15 years old the Jakarta resident the positive Centre was infected H5N1, died on Thursday, on April 5 2007, struck 17.10 WIB. this SLTP Student began to show the sign was sick on March 28 2007 and began to be treated in the Hospital St Carolus Jakarta the Centre on March 30 2007.
Just on April 2 2007 RJ was treated in the Sulianti Saroso Infection Hospital (RSPI SS).

In the same day, in struck 03.00 WIB, Sur (L, 29 th), the resident of the Regency Sukoharjo the Central Javan province that it was suspected suffered Bird Flu also died.

Sur began to show the sign was sick since March 27 2007 and afterwards was treated in the Hospital Dr. Moewardi, Solo since March 30 2007.

Results of the inspection of RT-PCR (Real Time-Polymerase Chain Reaction) the laboratory of the Body of Health Research And Development (Balitbangkes) the Department of the Health and the Agency of Eijkam confirmed that Sur positive was infected H5N1.

RJ had the history of contact indirectly with the poultry.

In the meantime, in the date 18, 19, and on March 20 2007, a large number of chickens belonging to the neighbour Sur that lived in RT 03 RW 01 villages Sapen the Mojolaban Sukoharjo Subdistrict, died suddenly.

With the addition of two cases above, Bird Flu casualties in Indonesia achieved the number 94 people with 74 people including dying.

The number of provinces that were infected also the previous month end improved to 10 provinces with he confirmed one case from Palembang, the South Sumatra province, that is M. (P, 22) that died on March 24 2007.

The Special Capital District of Jakarta province had the number of cases of second Bird Flu most after the West Javanese province.

In the period 1 January-April 7 2007, already six (6) the Jakarta resident and two (2) the Central Javan resident infected by Bird Flu.

The case to five in Central Java died on January 19 2007.

On the whole, the table besides showing the spreading of the case of Bird Flu to humankind in Indonesia, as well as the number of residents each province that have a background produced by two laboratories above was stated positive suffered Bird Flu.

In the Special Capital District of Jakarta, although Governor Sutiyoso put the ban into effect will maintain the poultry in the settlement region mid January 2007, five (5) the Jakarta resident died after this implementation period.

From epidemiological investigation in the environment of Bird Flu of the case residence, it was proven that the poultry was still being maintained by the resident who lived in the settlement environment.

Apparently although this regional regulation was known by most residents, the resident still reluctantly was isolating him from his poultries.

The spreading of the case that was confirmed suffered Bird Flu was based on the province could be seen in the table along with.

The number of confirmed Bird Flua cases (H5N1) Up To April 7 2007

Province # cases # died

1 West Javanese 29 23
2 the Special Capital District of Jakarta 25 22
3 Banten 12 10
4 North Sumatra 7 6
5 East Java 7 5
6 Central Java 6 5
7 West Sumatra 3 1
8 Lampung 3 0
9 South Sulawesi 1 1
10 South Sumatra 1 1

Total Number Of cases 94 74

With 94 cases of Bird Flu, currently Indonesia has the number of cases of most Bird Flu in the world, exceeded Vietnam that had 93 cases of Bird Flu.

Bird flu began to infect the Vietnamese resident since 2003, but the Vietnamese Government had succeeded in stopping the increase in the number of cases of Bird Flu in this socialist country since the end of November 2005.

Compared CFR, Indonesia then sat in the highest level with the Case Death Rate reached 78.72% temporary Vietnamese of 45.16%.

Acknowledged by the expert in the world that strain the Bird Flu virus in Indonesia was indeed more dangerous than strain the Vietnamese virus.
Moreover the resident just went to take medicine after more than 2 days felt feverish and manampakkan the sign of flu.

In fact Tamiflu medicine only was effective if being given in a period of less than 2 x 24 hours (two days) after the sign was sick apparently.

Because of this, the prevention really far more must be carried out to control the spread of Bird Flu to humankind.

As far as this is concerned, has many efforts were carried out by the Government to prevent the fall of more human casualties because of Bird Flu.
The president in fact reduced 7 instructions in order to control Bird Flu all over the Indonesian territory.

However, the appeal and the central government regulation and this area apparently not yet fully willingly was supported by the community.

In fact the key to the control was the co-operation government-community to maintain the cleanliness of the environment and himself respectively the resident as well as carried out matters that indeed were needed to prevent infection by Bird Flu.

Government efforts will not go smooth without the full support of the community.

In order to protect himself so that not infected by Bird Flu, preferably the community:

1.
Do not touch the poultry that was sick or died.
If already, immediately cleaned the body with soap.
Immediately reported this incident to RT/RW or the Village Head,
2.
Used water and soap to wash the hands and the cooking utensils.
Cooked the poultry and the poultry egg through to ripe,
3.
Separated the poultry from humankind.
Separate the new poultry from the long poultry for 3 weeks,
4.
Let investigate himself to the Community Health Centre or the hospital (especially the hospital of government reconciliation) if experiencing the sign of flu and the fever, especially after being adjacent to the poultry.

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2552

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases april 9 2007

Case Number 95

From Health Ministry


Riau, the 11th AI Infected Province
08 May 2007
Riau is the 11th province infected by avian influenza (AI). A (f, 29) who lived in Nangka Permai Residence, Pekanbaru, Riau, was positive of AI virus, H5N1, based on RT � PCR (Real Time Polimerase Chain Reaction) Test in Laboratory of National Institute of Health Research and Development MOHRI at Jakarta on 5 May 2007 and Laboratory of Eijkman Biological Molecular Institute at Jakarta on 7 May 2007.

A, a merchant, had her onset on 25 April 2007, and was hospitalized in Awal Bross Hospital , Pekanbaru on 27 April 2007. On 1 May 2007, A continued her treatment in Gleneagles Hospital , Medan , North Sumatera Utara. Two days later, 3 May 2007, at 11.30 p.m. she died at the hospital.
Until now, the risk factors are still unknown. A MOHRI united team will visit her residence for epidemiological investigation. The team consists of personnel from Surveillance Sub Directorate and Zoonosis Sub Directorate, both from DG of Disease Control and Environmental Health, cooperate with personnel from National Institute of Health Research and Development MOHRI. Team of Riau Provincial Health Office has started investigation earlier. Until today, the risk factors are not concluded yet in her residence.

Since H5N1 infects human in Indonesia, in July 2005, there are 5 provinces in Sumatera infected by disease, which infects among animal and has distributed in Sumatera throughout. From 10 provinces in Sumatera, there are still 5 province not infected yet, those are Nanggroe Aceh Darussalam, Jambi, Bengkulu, Bangka-Belitung and Riau Islands.

Since the last case dead on 5 April, number of infected AI cases in Indonesia reaches 95 people, with 75 people dead. The Case Fatality Rate (CFR) is 78.95%. Total distribution of H5N1 positive cases among human is:

Number of H5N1 Confirmed Cases
7 May 2007

<TABLE cellSpacing=1 cellPadding=1 border=2><TBODY><TR><TD rowSpan=2>

No

</TD><TD rowSpan=2>Province
</TD><TD colSpan=2>Positive of AI

</TD></TR><TR><TD>Case

</TD><TD>Dead

</TD></TR><TR><TD>1

</TD><TD>West Java

</TD><TD>29

</TD><TD>23

</TD></TR><TR><TD>2

</TD><TD>DKI Jakarta

</TD><TD>25

</TD><TD>22

</TD></TR><TR><TD>3

</TD><TD>Banten

</TD><TD>12

</TD><TD>10

</TD></TR><TR><TD>4

</TD><TD>North Sumatera

</TD><TD>7

</TD><TD>6

</TD></TR><TR><TD>5

</TD><TD>East Java

</TD><TD>7

</TD><TD>5

</TD></TR><TR><TD>6

</TD><TD>Central Java

</TD><TD>6

</TD><TD>5

</TD></TR><TR><TD>7

</TD><TD>West Sumatera

</TD><TD>3

</TD><TD>1

</TD></TR><TR><TD>8

</TD><TD>Lampung

</TD><TD>3

</TD><TD>0

</TD></TR><TR><TD>9

</TD><TD>South Sulawesi

</TD><TD>1

</TD><TD>1

</TD></TR><TR><TD>10

</TD><TD>South Sumatera

</TD><TD>1

</TD><TD>1

</TD></TR><TR><TD>11

</TD><TD>Riau

</TD><TD>1

</TD><TD>1
</TD></TR><TR><TD colSpan=2>Total

</TD><TD>95

</TD><TD>75

</TD></TR></TBODY></TABLE>

The widening infected area of AI among human in Sumatera is supposed to motivate local government to be more aware of sick or sudden dead avian. Local govt. should be more comprehensive in monitoring avian trading traffic and avian trading in traditional market.

The health personnel should be more aware of symptoms, such as fever, high temperature and cough. According to review meeting of avian influenza surveillance training, held by DG of Disease Control and Environmental Health, on last cases, there are also stomach ache and diarrhea. When these symptoms occur, the sufferer should be immediately brought to health center to get first aid of Tamiflu. Tamiflu is effective if it is given before 2 days after the symptoms occur on AI infected people.
People should keep self-cleanliness and washing hands with soap, especially after having contact with avian. Avian should be placed separately from people residence, then cleaning it at least once a week, not to mention old avian from the new ones at least for 3 weeks. They should always consume good and well-cooked avian meat and eggs. When they find sick or sudden dead avian, they must report it immediately to head of village or local farming office.

This information is published by Center for Public Communication, Secretariat General MOHRI. For further information, please call 021-5223002 or 52960661, or send e-mail to: puskom.depkes@gmail.com and puskom.publik@yahoo.co.id .

http://www.depkes.go.id/en/0805ri.htm (English)

http://www.depkes.go.id/index.php?op...ticle&sid=2576 (Indonesian)

[Laidback Al]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases May 9 2007

Case Number 96. Link to the Indonesian version on the Ministry of Health web site: http://www.depkes.go.id/index.php?op...ticle&sid=2590


Here is the english version posted on the Ministry of Health web site.

http://www.depkes.go.id/en/1505an.htm

Another AI Sufferer
15 May 2007
Another AI sufferer from North Sumatera died. NS (f, 26), who lived in Medan Estate Village, Percut Sei Tuan Subdistrict, Deli Serdang, North Sumatera, was stated positive of H5N1 based on RT � PCR (Real Time Polimerase Chain Reaction) Test of Laboratories of National Institute of Health Research and Development MOHRI and Eijkman Biological Molecular Institute, on 12 May 2007.
This information is received by Center for Public Communication from AI Post, DG of Disease Control and Environmental Health MOHRI, on Monday, 13 May 2007.
NS (f, 26) showed symptoms of high temperature and difficulty in breathing on 3 May 2007. Previously, there were 5 chickens suddenly dead around her house, and she was expected consuming it. On 8 May 2007, she was hospitalized in RS Haji, Medan , and referred to RS Adam Malik, Medan, on 9 May 2007. On Saturday, 12 May 2007 at 9.30 p.m., she died.
With this new case, NS is the 8th case of H5N1 positive in North Sumatera. While in Indonesia, it is the 96 th case of H5N1 positive, with 76 people died. The Case Fatality Rate (CFR) reaches 79.17&#37;. Distribution of AI confirmed cases can be seen in the following table.

AI Cases in Indonesia
13 May 2007

<TABLE cellSpacing=1 cellPadding=1 border=2><TBODY><TR><TD rowSpan=2>

No

</TD><TD rowSpan=2>Province
</TD><TD colSpan=2>AI Positive

</TD></TR><TR><TD>Case

</TD><TD>Die

</TD></TR><TR><TD>1

</TD><TD>West Java

</TD><TD>29

</TD><TD>23

</TD></TR><TR><TD>2

</TD><TD>DKI Jakarta

</TD><TD>25

</TD><TD>22

</TD></TR><TR><TD>3

</TD><TD>Banten

</TD><TD>12

</TD><TD>10

</TD></TR><TR><TD>4

</TD><TD>North Sumatera

</TD><TD>8

</TD><TD>7

</TD></TR><TR><TD>5

</TD><TD>East Java

</TD><TD>7

</TD><TD>5

</TD></TR><TR><TD>6

</TD><TD>Central Java

</TD><TD>6

</TD><TD>5

</TD></TR><TR><TD>7

</TD><TD>Lampung

</TD><TD>3

</TD><TD>1

</TD></TR><TR><TD>8

</TD><TD>South Sulawesi

</TD><TD>3

</TD><TD>0

</TD></TR><TR><TD>9

</TD><TD>West Sumatera

</TD><TD>1

</TD><TD>1

</TD></TR><TR><TD>10

</TD><TD>South Sumatera

</TD><TD>1

</TD><TD>1

</TD></TR><TR><TD>11

</TD><TD>Riau

</TD><TD>1

</TD><TD>1
</TD></TR><TR><TD colSpan=2>Total

</TD><TD>96

</TD><TD>76

</TD></TR></TBODY></TABLE>

The local government must be more concern on sick and sudden dead avian and immediately take more efforts to control and prevent the transmission. Research or investigation has to be socialized to get public approval to gain information which is important for AI study.
Further knowledge on AI will help this communicable disease control and be expected to prevent human-to-human transmission.
Symptoms such as fever, high temperature and cough should be more concerned by local health personnel. When a person shows one or more of the symptoms, he/she should be immediately brought to health center to get primary help of Tamiflu. Tamiflu is effective when given before 2 days after the symptoms of AI occur.
For general population, they should keep their self-cleanliness and washing hand with soap, especially after having contact with avian. Avian should be placed separately from people residence, then cleaning it at least once a week, not to mention old avian from the new ones at least for 3 weeks. They should always consume good and well-cooked avian meat and eggs. When they find sick or sudden dead avian, they must report it immediately to head of village or local farming office.
This information is published by Center for Public Communication, Secretariat General MOHRI. For further information, please call 021-5223002 and 52960661, or send e-mail to: puskom.depkes@gmail.com and puskom.publik@yahoo.co.id .

[Gert van der Hoek]

Re: Indonesia: Health Ministry Summary of Bird Flu Cases May 15 2007

From Min of Health

Case 97

Seventh AI Sufferer in Central Java

23 May 2007

SI (f, 5 years) died on May 17, 2007 for avian influenza (AI). Laboratory results of National Institute of Health Research and Development MOHRI (Balitbangkes) and Eijkman Institute Jakarta on May 23, 2007 proved that this little girl was positively infected by H5N1 virus, which has infected Central Java.

From report compilation of Central Java health office, SI had shown symptoms of fever and cough since May 8, 2007. She went to private practical doctor and then to a clinic in Eromoko Subdistrict, Wonogiri District, Central Java . After getting sick for a week, on May 15, 2007, she was referred to Dr. Oen Hospital at Solo Municipality, Central Java, and the next day to Dr. Moewardi Hospital, Solo. The symptoms covered fever, cough and difficulty in breathing. Laboratory result showed that SI had leukopenia, thrombocytopenia and pneumonia. On Thursday, May 17, 2007, she died at 05.55 a.m.

Dr. Moewardi Hospital sent her specimen to Balitbangkes Laboratory on May 22, 2007, in the same day it sent to Eijkman Molecular Biological Institute. Still in the same day, result of serologic and RT-PCR Test of Balitbangkes showed that SI was positively infected by H5N1 virus, the AI virus among human. It was then emphasized by result of Eijkman Institute Laboratory in the next day.

So far, the risk factor found by investigation team of Central Java is about 20 dead chickens in her neighboring. The advance epidemiological investigation has been doing by a team, consists of personnel from DG of Disease Control and Environmental Health, Balitbangkes, health offices of Central Java and Wonogiri District, supported by health center and local personnel.

Therefore, in Indonesia AI has infected 97 people, and SI becomes the 77 th dead sufferer. The Fatality Rate (CFR) of AI reaches 79.38&#37;, which means 4 of 5 infected people are dead. Distribution of AI cumulative cases is in the following table.

NUMBER OF CONFIRMED AI (H5N1) CASES
22 May 2007


Province # Positive AI Case # Dead

1 West Java 29 23

2 DKI Jakarta 25 22

3 Banten 12 10

4 North Sumatera 8 7

5 East Java 7 5

6 Central Java 7 6

7 West Sumatera 3 1

8 Lampung 3 0

9 South Sulawesi 1 1

10 South Sumatera 1 1

11 Riau 1 1

Total 97 77


Controlling AI distribution, every individual is supposed to concern and be aware of environmental health and AI symptoms. One way is self-cleanliness by often washing hands with soap, especially after having contact with avian. All families should consume healthy and well-cooked avian meat and eggs. When finding sick or sudden dead chicken, people should report it to head of village or local farming office. When someone has symptoms of fever and cough, he/she does not have to wait until it becomes difficulty in breathing or worse but immediately go to health center or local govt. hospital. Tamiflu effectively prevents virus growth only about 2 x 24 hours or 2 days after the symptoms occur.

When growing avian, people must register it to local farming office and check it whether potentially transmit H5N1 or not. They should always clean the cage at least once a week and place separately avian from residence. In addition, old avian should be also placed separately from the new ones for at least 3 weeks.

MOHRI suggests all health personnel to be more aware of similar AI symptoms, though it is almost the same with other diseases. Contact with sick or dead chicken in neighboring area can be an indication to immediately refer patient to local govt. hospital, which is AI referral center.

This information is published by Center for Public Communication, Secretariat General MOHRI. For further information, please call 021-5223002 and 52960661, or send e-mail to: puskom.depkes@gmail.com and puskom.publik@yahoo.co.id .

http://www.depkes.go.id/en/2305se.htm

Indonesian version:

http://www.depkes.go.id/index.php?option=news&task=viewarticle&sid=2597